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Virginia rates for HCPCS 81431

Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 genes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.63 / $1,289.82 / $2,093.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.68 / $543.66 / $577.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.57 / $679.57 / $3,309.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.83 / $271.83 / $426.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.66 / $611.61 / $1,192.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.66 / $1,269.82 / $3,480.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.38 / $420.03 / $1,210.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.57 / $815.48 / $1,005.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.74 / $543.66 / $917.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.00 / $713.55 / $1,630.97
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.70 / $816.84 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.70 / $822.55 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $339.79 / $679.57